Individual provider Active NPI

Cassandra Elizabeth McKenzie, REGISTERED NURSE MSN

  • Registered Nurse
  • Lehigh Acres, FL
National Provider Identifier
1568632925
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1703942 Issued in FL
Practice address
919 5TH Ave
Lehigh Acres, FL 33972-2921
Phone
(305) 625-7430
Fax
(305) 625-1079
NPI assigned
Mar 1, 2008
Last updated
Mar 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1703942 FL Primary

Addresses

Primary practice location

919 5TH Ave
Lehigh Acres, FL 33972-2921

Mailing address

919 5TH Ave
Lehigh Acres, FL 33972-2921
Phone (305) 625-7430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1703942FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kenzie Kare Group Home Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1568632925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 5TH AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339722921",
            "telephone_number": "305-625-7430",
            "fax_number": "305-625-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 5TH AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339722921",
            "telephone_number": "305-625-7430",
            "fax_number": "305-625-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CASSANDRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "1703942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.